It's all in the timing: Acceptability of a financial incentive intervention for linkage to HIV care in the HPTN 065 (TLC-Plus) study

The HPTN 065 (TLC-Plus) study tested the feasibility and effectiveness of using financial incentives (FIs) to increase linkage to care (L2C) among individuals with newly diagnosed HIV and those out of care in the Bronx, NY and Washington, DC. Qualitative data collection with a subset of participatin...

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Bibliographic Details
Published in:PloS one 2018-02, Vol.13 (2), p.e0191638-e0191638
Main Authors: Shelus, Victoria, Taylor, Jamilah, Greene, Elizabeth, Stanton, Jill, Pack, Allison, Tolley, Elizabeth E, Branson, Bernard M, El-Sadr, Wafaa M, Pollydore, June, Gamble, Theresa
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Analysis
Behavior
Biology and Life Sciences
Data collection
Diagnosis
District of Columbia
Economic aspects
Economic incentives
Feasibility Studies
Female
Focus Groups
Forecasts and trends
Health care
HIV
HIV Infections - therapy
HIV patients
Human immunodeficiency virus
Humans
Incentives
Infections
Intervention
Male
Medical diagnosis
Medical tests
Medicine and health sciences
Methods
Middle Aged
Motivation
New York City
Patients
Preventive medicine
Public health
Qualitative analysis
Research and Analysis Methods
Social Sciences
Systematic review
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Summary:The HPTN 065 (TLC-Plus) study tested the feasibility and effectiveness of using financial incentives (FIs) to increase linkage to care (L2C) among individuals with newly diagnosed HIV and those out of care in the Bronx, NY and Washington, DC. Qualitative data collection with a subset of participating patients and staff focused on experiences with and attitudes about the FI intervention. Semi-structured interviews were conducted with 15 patients and 14 site investigators. Four focus group discussions were conducted with a total of 15 staff members. The use of FIs for L2C was generally viewed favorably. Patients were grateful and benefited financially, but sites had some challenges implementing the program. Challenges included the timing and sensitive introduction of the intervention immediately after an HIV diagnosis, negative attitudes towards paying people for health behaviors, and the existence and strength of existing linkage programs. Future programs should consider optimal timing and presentation of FIs.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0191638